Individual provider Active NPI

Larry John Yoder, CRNA

  • Certified Registered Nurse Anesthetist
  • Elizabethtown, NC
National Provider Identifier
1326046434
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
147987 Issued in NC
Practice address
2408 1St Avenue
Elizabethtown, NC 28337
Phone
(910) 872-0267
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RNA203022 ME
Certified Registered Nurse Anesthetist 367500000X 147987 NC Primary

Addresses

Primary practice location

2408 1St Avenue
Elizabethtown, NC 28337

Mailing address

2408 1St Ave
Elizabethtown, NC 28337
Phone (910) 872-0267

Other practice location 1

35 Miles St
Damariscotta, ME 04543-4047
Phone (207) 563-1234

Other identifiers 1

IdentifierTypeStateIssuer
8051316MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA, SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20041208000688 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183680473 Reassigns benefits to 6 organizations
I20070912000326 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183680473 Reassigns benefits to 1 organization
I20111121001013 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183680473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Regional Healthcare SystemGroup PAC ID 2961312228, 120 clinicians

Practice addresses (Care Compare)

500 Jefferson St
Whiteville, NC 28472-3634
Phone (910) 642-8011

Hospital & facility affiliations

  • Columbus Regional Healthcare System Hospital, Whiteville, NC, CCN 340068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
3176SCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Firsthealth of the Carolinas, Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Anesthesia Care Services, PA Nurse Anesthetist, Certified Registered CurrentSince Sep 15, 2018 Accepting new patients
Cumberland County Hospital System Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 15, 2018 Accepting new patients
Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic CurrentSince May 7, 2016 Accepting new patients
Bladen Healthcare LLC CurrentSince Apr 9, 2009 Accepting new patients
Bladen Healthcare LLC Current Accepting new patients
Columbus Regional Healthcare System CurrentSince Aug 6, 2020 Accepting new patients
Firsthealth of the Carolinas, Inc Nurse Anesthetist, Certified Registered CurrentSince May 7, 2016 Accepting new patients
Coastal Carolina Centers of Urology and Surgery LLC CurrentSince Jan 23, 2021 Accepting new patients
Coastal Carolina Centers of Urology and Surgery LLC Current Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 28, 2017 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Columbus Regional Healthcare System CurrentSince Aug 6, 2020 Accepting new patients
Bladen Healthcare, LLC CurrentSince Apr 9, 2009 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Sep 15, 2018 Accepting new patients
SMG Anesthesia Specialists LLC CurrentSince Oct 12, 2020 Accepting new patients
Surgery Center of Central Virginia Inc. Past Accepting new patients
Chesterfield-Marlboro LP Nurse Anesthetist, Certified Registered Past Accepting new patients
Roswell Clinic Corp Past Accepting new patients

Locations

800 Tilghman Dr
Dunn, NC 28334
Phone (910) 230-7800

501 S Poplar St
Elizabethtown, NC 28337
Phone (910) 862-4043

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

2730 Georgia Rd
Franklin, NC 28734
Phone (828) 349-3636

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

1007 Gregory Dr
Roanoke Rapids, NC 27870
Phone (252) 535-6478

925 S Long Dr
Rockingham, NC 28379
Phone (910) 417-3000

500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776

16 Hospital Rd
Plymouth, NH 03264
Phone (603) 238-2229

822 Farrar Dr
Conway, SC 29526
Phone (843) 347-9587

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

Interoperability endpoints

  • Direct secure messaging: lyoder@crhn.cernerdirect.com
  • Direct secure messaging: lyoder132219@direct.rivhs.com

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 19

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1326046434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 1ST AVE",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "28337",
            "telephone_number": "910-872-0267",
            "fax_number": "910-715-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 1ST AVENUE",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "28337",
            "telephone_number": "910-872-0267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Miles St",
            "address_purpose": "LOCATION",
            "city": "Damariscotta",
            "state": "ME",
            "postal_code": "045434047",
            "country_code": "US",
            "telephone_number": "207-563-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YODER",
        "first_name": "LARRY",
        "middle_name": "JOHN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA203022",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "147987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8051316",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.